| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
747 |
733 |
$50K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
459 |
434 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
286 |
278 |
$30K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
210 |
210 |
$21K |
| 59025 |
Fetal non-stress test |
507 |
408 |
$17K |
| 76830 |
Ultrasound, transvaginal |
112 |
111 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
66 |
53 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
39 |
$2K |
| 99459 |
|
76 |
75 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
50 |
50 |
$586.92 |